Nevada Medicaid and Nevada Check Up News (Second Quarter 2025 Provider Newsletter) [Read]

Attention Behavioral Health Providers: Monthly Behavioral Health Training Assistance (BHTA) Webinar Scheduled [See Web Announcement 2009]

Attention All Providers: Requirements on When to Use the National Provider Identifier (NPI) of an Ordering, Prescribing or Referring (OPR) Provider on Claims [Announcement 850]

If you are a Medicaid provider whose revalidation application has not been processed by your termination due date, you will be ineligible to provide services to any Nevada Medicaid or Nevada Check Up recipients, including both Fee-for-Service and Managed Care Organization (MCO) enrolled recipients. See Web Announcement 1265

Enrollment Termination Frequently Asked Questions (FAQs) [Review]

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Top 10 Claim Denial Reasons and Resolutions/Workarounds for May 2025 Professional Claims. See Web Announcement 3651.

Top Prior Authorization Denial Reasons for the First Quarter of 2025. See Web Announcement 3630.

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111. companionguide820.pdf
... specified.) This Companion Guide provides specific requirements for providing Managed Care Organization (MCO) capitation payment information using the EDI 820 transaction. HP Enterprise Services creates ...
Terms matched: 1  -  Score: 81  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/companionguide820.pdf
112. companionguide270-271_hipaa.pdf
... Protocol (SFTP) client software and it is up to the trading partner to choose which client software they will use. HPES does not provide or recommend any ...
Terms matched: 1  -  Score: 13  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/companionguide270-271_hipaa.pdf
113. Colony_Stimulating_Factors_GG-CSF_2015-0812.pdf
... the guidelines regarding the specific CSFs within the class. The NCCN states that when choosing an agent for the treatment of prophylaxis of febrile neutropenia, filgrastim and pegfilgrastim ...
Terms matched: 1  -  Score: 43  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Colony_Stimulating_Factors_GG-CSF_2015-0812.pdf
114. CMS-1500_Instructions_posted_2011-12-05_through_2013-05-14.pdf
... ER visit payment 1048 Primary carrier has paid full charges 1072 Newborn/Mother in MCO, bill MCO 1049 Recipient not eligible 1073 Credit balance process 1050 Services not ...
Terms matched: 1  -  Score: 25  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/CMS-1500_Instructions_posted_2011-12-05_through_2013-05-14.pdf
115. Clinical_Material_2016-0411.pdf
... guidelines regarding the specific CSFs within the class. o The NCCN states that when choosing an agent for the treatment of prophylaxis of febrile neutropenia, filgrastim and pegfilgrastim ...
Terms matched: 1  -  Score: 43  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Clinical_Material_2016-0411.pdf
116. CMS Payerpath Training 2016-1205.pdf
... | Email: nvmmis.edisupport@dxc.com 19 Claims List Filter Select Form: Type Professional Choose from Untransmitted (claims not yet sent) or Transmitted (claims that have ...
Terms matched: 1  -  Score: 21  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/CMS%20Payerpath%20Training%202016-1205.pdf
117. Claims_and_PA_Conference_Presentation.pdf
... €œSubmitâ€Nevada Medicaid Provider Training 58 Delegate Assignment, continued †' Choose the Functions you want the delegate to be able to perform †' ...
Terms matched: 1  -  Score: 25  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Claims_and_PA_Conference_Presentation.pdf
118. Botulinum_Toxins_2013-1218.pdf
... of Lower bladder retraining or habit retraining) . Urinary Tract • When choosing a behavioral management program, take into account Dysfunction that prompted voiding and habit ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Botulinum_Toxins_2013-1218.pdf
119. Botulinum Toxins.pdf
... of Lower bladder retraining or habit retraining) . Urinary Tract • When choosing a behavioral management program, take into account Dysfunction that prompted voiding and habit ...
Terms matched: 1  -  Score: 10  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Botulinum%20Toxins.pdf
120. Binder_DUR_2019_0124.pdf
... really be controlled by the clinician who chooses to administer the product in his or ... : It would help to know which MCO you’re referring to. ...
Terms matched: 2  -  Score: 277  -  28 Sep 2024  -  URL: https://www.medicaid.nv.gov/Downloads/provider/Binder_DUR_2019_0124.pdf
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